VA Form 10-1245C: VA/DoD Sharing Agreement Guide – The VA Form 10-1245C, officially titled the VA/Department of Defense Sharing Agreement, is a critical document that facilitates collaboration between the Department of Veterans Affairs (VA) and the Department of Defense (DoD). This form helps streamline the sharing of health care resources, improving access to care for veterans and service members while promoting efficiency across federal health systems.
For veterans, active-duty personnel, and their families in the USA, understanding this form is essential for navigating integrated care options. Below is a comprehensive, up-to-date guide based on official VA and DoD sources.
What Is VA Form 10-1245C?
VA Form 10-1245C is the standardized form used to establish, renew, or amend formal agreements for sharing health care resources between VA medical facilities and DoD facilities (such as military treatment facilities). It documents the specific services, responsibilities, billing, and terms for resource sharing.
The form is revised as of April 2011 and is available as a fillable PDF. It serves as the primary legal instrument for VA-DoD health resources sharing under relevant U.S. Code authorities.
Purpose of the VA/DoD Sharing Agreement
The main purpose of agreements created with VA Form 10-1245C is to promote the cost-effective use of health care resources. This includes:
- Sharing clinical services (inpatient, outpatient, ancillary, pharmacy, dental)
- Administrative and non-clinical support (space, staff, training)
- Reducing duplication of services
- Improving access to specialized care for veterans and DoD beneficiaries
As of 2025, there are approximately 185 active sharing agreements, reflecting growing collaboration between the agencies.
Legal Authority Behind VA Form 10-1245C
The form is authorized by:
- 38 U.S.C. § 8111 – Department of Veterans Affairs and Department of Defense Health Resources Sharing and Emergency Operations Act
- 10 U.S.C. § 1104 – Sharing of Resources with the Department of Veterans Affairs
Additional guidance comes from VHA Directive 1660, DoDI 6010.23, and related handbooks.
How to Use and Complete VA Form 10-1245C?
VA Form 10-1245C is typically completed electronically through the MAX.gov Resource Sharing Application (rsa.max.gov). Key steps include:
- VA and DoD facility leadership identify a sharing opportunity.
- Complete the form with details on facilities, services, billing, and period of agreement (up to 5 years).
- Include a Local Operating Procedure (LOP) as an addendum with facility-specific details.
- Obtain electronic signatures from VA Medical Center Director and authorized DoD official.
- Submit for review; agreements generally become effective after 46 days unless approved earlier.
Download the official VA Form 10-1245C here: Download VA Form 10-1245C Fillable PDF
Key Sections of VA Form 10-1245C
The form includes fields for:
- Agreement number, type of action (new, renewal, amendment)
- VA and DoD facility information
- Payment and billing details
- General provisions and authorities
- Detailed descriptions of services provided by each party, including estimated costs
- Signatures
Claims for services are typically submitted using standard forms like CMS 1500 or UB 04 via EDI.
Benefits of VA-DoD Sharing Agreements
These agreements benefit veterans by:
- Expanding access to care, especially specialized services
- Reducing wait times
- Optimizing federal resources and lowering costs
- Enhancing coordination between VA and military health systems
DoD facilities also gain flexibility in resource utilization.
Who Can Initiate a Sharing Agreement?
Either VA or DoD facilities can initiate agreements. Local leadership, VISN coordinators, and designated sharing offices work together. All agreements must follow standardized processes outlined in VA and DoD directives.
Recent Developments and Statistics
VA and DoD continue to expand sharing efforts. Recent reports highlight 185 active agreements as of April 2025, with ongoing efforts to measure and improve impact on patient care and costs.
How to Download and Learn More?
Download VA Form 10-1245C (Official Fillable PDF)
For more information, visit:
Frequently Asked Questions (FAQs)
Is VA Form 10-1245C only for medical services?
No. It covers both clinical and non-clinical resources, including administrative services, space sharing, and more.
Who signs the form?
The VA Medical Center Director (or equivalent) and an authorized DoD official.
How long do agreements last?
Up to five years, with provisions for renewal or termination.